Do lifestyle change help uncontrolled asthma in the elderly?

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern. As you already described, your mother is suffering from bronchial asthma. The key to the treatment of asthma is the use of inhaled medications. For adequate asthma control, appropriate inhalers in the right dose are to be used with adequate technique, and they should be used regularly. Investigations to be done for newly diagnosed or uncontrolled bronchial asthma:

• Complete blood count.
• Serum total IgE.
• Chest X-ray.
• Pulmonary function test (spirometry pre- and post-bronchodilator).

Causes for repeated exacerbations include:

• Presence of comorbid conditions like allergic rhinitis, GERD, and obesity.
• Incorrect inhaler technique or if the inhaler is not being used regularly.
• If incorrect inhaled medicines are being used.

The following advice is to be followed if bronchial asthma is diagnosed:

• Start regularly using inhalers (MDI Budesonide (200/6) two puffs twice daily with a spacer followed by mouthwash). Inhalers are to be used on a daily basis without any break for at least six months. No dose is to be skipped unless advised by a pulmonologist.
• Mac spacer (it is to be attached to an inhaler; the technique of its usage can be learned on the internet).
• Consult a pulmonologist either physically or virtually on a regular basis (at least once monthly).
• Take vaccinations appropriate for the age if not taken already.
• Control of co-morbid conditions, if any, like allergic rhinitis, since uncontrolled allergic rhinitis and GERD often exacerbate asthma, leading to poor asthma control.
• Ensure she has a written asthma action plan that outlines how to manage her symptoms and what to do in an emergency. This can help her feel more in control.
• Avoid triggers: Identifying and avoiding triggers (like smoke, pollution, pets, or certain foods) can significantly improve her condition.
• Pulmonary rehabilitation: Some programs offer education and exercises to improve lung function and overall fitness.
• Lifestyle changes: Regular exercise (as tolerated), maintaining a healthy diet, and managing stress can all contribute to better asthma control.
• Monitoring and technology: Using a peak flow meter to monitor her lung function can help her detect worsening asthma early. There are also smartphone apps that can help track symptoms and medication use.
• Emergency preparedness: Make sure she has an emergency plan in place, including access to emergency medications and knowing when to seek urgent care.

Get all the investigations, and follow up after one week of investigations; I will then evaluate if her asthma is controlled or not.

I hope I have answered your query.

Let me know if I can assist you further.

Thank you.